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Flashcards in Pediatrics Deck (105)
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1

What does epiphyseal-metaphyseal "bucket fracture" suggest in infant?

shaking of limbs- abuse in infant

2

Diagnosis of shaken baby syndrome

optho exam: retinal hemorrhages
noncontrast CT: subdural hematoma

3

What drugs predispose to congenital heart disease (4)

alcohol
lithium
thalidomide
phenytoin

4

Maternal illness predisposing to CHD

DM, PKU

5

Infection predisposing to CHD

rubella

6

Noncyanotic heart defects (3Ds)

VSD, ASD, PDA
shunt L to R

7

Cyanotic heart defects (5 Ts)

Truncus arteriosus (One arterial vessel)
Transposition of great vessels (2 arteries switched)
Tricuspid atresia (3)
Tetralogy of Fallot (4)
Total anomolous pulmonary venous return (5 words)

8

What CHD presents with cyanosis within first few hours of life

Transposition

9

Heart defect associated with Down syndrome

ASD, endocardial defects

10

Heart defect associated with Congenital rubella

PDA

11

Heart defect associated with Turner syndrome

Coarctation of the aorta

12

Heart defect associated with neonatal lupus

congenital heart block

13

Heart defect associated with Williams syndrome

supravalvular aortic stenosis

14

Heart defect associated with DiGeorge

Tetralogy

15

Heart defect associated with maternal lithium use

Ebstein's anomoly

16

Heart defect associated with neonatal thyrotoxicosis

Heart failure

17

Heart defects associated with maternal diabetes

asymmetric septal hypertrophy
transposition

18

Neonate: Harsh holosystolic murmur at lower left sternal border

VSD

19

Neonate: wide and fixed, split S2; systolic ejection murmur LUSB

ASD

20

Exam associated with PDA

Continuous "machine-like murmur", loud S2, wide pulse pressure, bounding peripheral pulses

21

Holt-Oram syndrome (3)

absent radii, ASD, first degree heart block

22

Given to close/ open PDA

Indomethacin: Closes
PGE1: opens

23

Where is the most common location of coartation?

Just below the L subclavian artery

24

Associated with "3"s sign on CXR, rib notching

Coartcation

25

What is required to survive transposition

septal defect and PDA

26

CXR shows "egg-shaped silhouette" and increased pulm vascular markings

Transposition

27

Anomolies with tetralogy (PROVe)

Pulmonary stenosis (most imp indicator)
RVH
Overriding aorta
VSD

28

What age stranger anxiety develops

6mo

29

What age pincer grasp develops

12mo

30

Gross motor milestones:
-2mo
-4-5mo
-6mo
-12mo
-2years
-3years

-2mo: Lift head/chest
-4-5mo: Rolls front to back
-6mo: Sits unassisted
-12mo: Walks alone
-2years: Walks up/down steps
-3years: Rides tricycle